玻璃体切割联合硅油填充术治疗脉络膜脱离型视网膜脱离临床观察  

Long-term clinical results of vitrectomy combined with silicone oil tamponade in patients with coexisting rhegmatogenous retinal detachment and choroidal detachment

作　　者：黄定国[1] 陈伟奇[1] 黄惠春[1] 

机构地区：[1]汕头大学·香港中文大学联合汕头国际眼科中心,汕头515041

出　　处：《中国实用眼科杂志》2016年第6期589-592,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价玻璃体切割联合硅油填充术治疗脉络膜脱离型孔源性视网膜脱离的长期手术疗效。方法回顾性分析2008年1月至2012年9月在汕头大学·香港中文大学联合汕头国际眼科中心就诊的45例脉络膜脱离型孔源性视网膜脱离的患者，所有患者均接受玻璃体切割联合硅油填充术，硅油取出术后随访超过24个月，分析术前及术后最佳矫正视力、眼压、视网膜复位率等情况。结果初次视网膜复位率82．2％（37／45），最终视网膜复位率100％（45／45）。45例患者中34例视力提高，10例视力不变，1例视力减退。患者术前平均眼压7．88mmHg，最后一次随访平均眼压14．00mmHg，手术前后眼压改变具有统计学意义（t=6．225，P〈0．01）。结论玻璃体切割联合硅油填充术是治疗脉络膜脱离型孔源性视网膜脱离有效方法，长期随访观察发现视网膜复位率高，术后低眼压发生率小。Objective To evaluate the long-term anatomic and functional results of vitreetomy combined with silicone oil tamponade in patients with coexisting rhegmatogenous retinal detachment and choroidal detachment. Methods Forty-five consecutive eyes with coexisting rhegmatogenous retinal detachment and choroidal detachment were included. All of them received vitrectomy with silicone oil tamponade and were followed up at least 24 months after oil removed. The corrected visual acuity and intraocular pressure （IOP） before and after surgery, the rate of retinal reattachment were analyzed. Results The rate of retinal reattachment after first surgery was 82.2% （37/45） and the final rate was 100% （45/45）. Visual acuity improved in 34 eyes, unchanged in 10 eyes and decreased in 1 eye. Mean IOP was 7.88 mmHg before the surgery and 14.00mmHg at final follow-up. There was significant difference between post- and pre-operative IOP. Conclusions Vitrectomy combined with silicone oil mmponade is an effective method for patients with coexisting rhegmatogenous retinal detachment and choroidal detachment. This method improves reattachment rates and reduces the incidence of postoperative hypotony.

关 键 词：脉络膜脱离 视网膜脱离 玻璃体切割术 硅油 

分 类 号：R774.12[医药卫生—眼科]